Baytown Medical Center LP
1626 W Baker Road, Baytown, TX 77521 · 96 Priced Procedures
Typical commercial prices here are +350% above the fair benchmark (4.50×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Baytown Medical Center LP prices routine shoppable procedures near 8.1× Medicare (p50 5.85×) while skewing captive emergency, lab, and upper-quartile codes to 14.7× Medicare (p75 8.61×, +47% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 2.96× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 17% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (85/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
- Captive ER (0.7×) & laboratory (0.6×) services average 1.81× higher multiples than routine shoppable care (8.1×)
- Upper-quartile procedures (Q75 8.61×) jump +47% above the median procedure ratio (Q50 5.85×)
- Unnegotiated chargemaster list prices average 18.3× Medicare (25¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Baytown Medical Center LP
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $78,554 | unverified |
| Total knee replacement CPT Code: 27447 | — | — |
| Total hip replacement CPT Code: 27130 | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $7,172 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $4,869 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $4,869 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $3,768 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $3,464 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $2,978 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,360 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,958 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $1,884 | 5.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,799 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,665 | 0.3× |
| Cataract surgery with lens implant CPT Code: 66984 | $1,665 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,670 | unverified |
| X-ray, lower back CPT Code: 72110 | $1,615 | unverified |
| X-ray, hand CPT Code: 73130 | $1,615 | unverified |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $1,571 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,508 | 0.4× |
| Inguinal hernia repair CPT Code: 49505 | $1,508 | 0.4× |
| Ultrasound, pelvis CPT Code: 76856 | $1,424 | unverified |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $1,258 | 10.2× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $1,275 | 10.1× |
| Screening mammogram (both breasts) CPT Code: 77067 | $1,277 | unverified |
Audit a Bill or Quote at Baytown Medical Center LP (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Baytown Medical Center LP's published 45 CFR § 180 self-pay cash rate is $98,193 (vs. $78,554 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($98,193) is $78,761 above the denoised Fair BaseRate ($19,432) and 7.0× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Baytown Medical Center LP as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Baytown Medical Center LP. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-04·administrative_or_closure
Closure Notice
Recorded - 2024-12-19·cmp_monetary_penalty
CMP Notice
Recorded - 2024-10-08·cap_corrective_action
CAP Request
Recorded - 2024-07-16·cap_corrective_action
CAP Request
Recorded - 2023-11-30·cap_corrective_action
CAP Request
Recorded - 2023-06-26·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baytown Medical Center LP.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.